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Эвенштейн 3. М. Здоровье и питание. -М.: Знание, 1987.
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{| class="infobox"
| colspan="2" bgcolor="#98FB98" align="center" | '''Naturopathy'''
|-
| colspan="2" align="center" | This article is part of the branches of CAM series.
|-
| colspan="2" bgcolor="#98FB98" align="center" | '''[[Terms and concepts in alternative medicine#CAM|CAM]] Classifications'''
|-
| [[Terms and concepts in alternative medicine#NCCAM Classifications|NCCAM]]:
| [[Terms and concepts in alternative medicine#Alternative Medical Systems|Alternative Medical System]]
|-
| [[Terms and concepts in alternative medicine#Modality Classifications|Modality]]:
| [[Terms and concepts in alternative medicine#Professionalized Modalities|Professionalized]]
|-
| [[Terms and concepts in alternative medicine#Standards of Knowledge Classifications|Knowledge]]:
| [[Doctorate]]
|-
| [[Culture]]:
|}

'''Naturopathic medicine''' (also known as '''naturopathy''') is a school of [[medicine|medical]] philosophy and practice that seeks to improve [[health]] and treat disease chiefly by assisting the body's innate capacity to recover from [[illness]] and [[injury]]. Naturopathic practice may include a broad array of different modalities, including [[manual therapy]], [[hydrotherapy]], [[herbalism]], [[acupuncture]], [[psychotherapy|counseling]], [[environmental medicine]], [[aromatherapy]], nutritional counseling, homeopathy, and so on. Practitioners tend to emphasize a [[holistic health|holistic]] approach to patient care. Naturopathy has its origins in a variety of world medicine practices, including the [[Ayurveda]] of [[India]] and [[Nature Cure]] of Europe. <ref>{{cite web|title=History of Naturopathy|url=http://www.naturopathy-uk.com/library/2007/03/12/history-of-naturopathy/|year=2007}}</ref> It is today practiced in many countries around the world in one form or another, where it is subject to different standards of regulation and levels of acceptance.

Naturopathic practitioners prefer not to use invasive [[surgery]], or most synthetic [[medication|drugs]], preferring "natural" remedies, for instance relatively unprocessed or whole medications, such as herbs and foods. Practitioners from accredited schools are trained to use diagnostic tests such as [[imaging]] and [[blood tests]] before deciding upon the full course of treatment. If the patient does not respond to these treatments, they are often referred to physicians who utilize standard medical care to treat the underlying disease or condition.

With only a few exceptions, most naturopathic treatments have not been tested for safety and efficacy utilizing [[scientific method|scientific]] studies or clinical trials. There is a concern in the scientific and medical communities that these treatments are used to replace well-studied and tested medical procedures thereby endangering the health of the patient.{{Fact|date=July 2007}}

==History of naturopathic medicine==
The term naturopathy was coined before 1900, by John Scheel, and used by [[Benedict Lust]]. Lust had been schooled in [[hydrotherapy]] and other natural health practices in [[Germany]] by Father [[Sebastian Kneipp]], who sent Lust to the [[United States]] to bring them Kneipp's methods. In 1905, Lust founded the [[American School of Naturopathy]] in [[New York]], the first naturopathic college in the United States but "according to the [http://www.dos.state.ny.us/ New York Department of State], and the [http://www.fsu.edu/~speccoll/leroy/leroseri.htm Florida Report to Governor Leroy Collins], it appears that this naturopathic school was never anything but a diploma mill". <ref>[http://www.anma.com/fraud.html Fraud In New Hampshire]</ref>. Lust took great strides in promoting the profession, culminating in passage of licensing laws in several states prior to 1935, including [[Arizona]], [[California]], [[Connecticut]], [[Hawaii]], [[Oregon]], and [[Washington]] and the founding of several naturopathic colleges.

Naturopathic medicine went into decline, along with most other natural health professions, after the 1930s, with the discovery of penicillin and advent of synthetic drugs such as [[antibiotics]] and [[corticosteroids]]. In the post-war era, Lust's death, conflict between various schools of natural medicine ([[homeopathy]], [[eclectics]], [[physio-medicalism]], [[herbalism]], naturopathy, etc.), and the rise of medical technology were all contributing factors. In 1910, when the [[Carnegie Foundation for the Advancement of Teaching]] published the [[Flexner Report]] which criticized many aspects of medical education in various institutions (natural and conventional), it was mostly seen as an attack on low-quality natural medicine education. It caused many such programs to shut down and contributed to the popularity of conventional medicine.

Naturopathic medicine never completely ceased to exist, however, as there were always a few states in which licensing laws existed&mdash;though at one point there were virtually no schools. One of the most visible steps towards the profession's modern renewal was the opening in 1956 of the [[National College of Naturopathic Medicine]] in [[Portland, Oregon]]. This was the first of the modern naturopathic medical schools offering four-year naturopathic medical training with the intention of integrating science with naturopathic principles and practice.

===Naturopathy In India===
Naturopathy is very popular in India, and there are numerous naturopathic hospitals in the country. There are also many doctors trained in conventional medicine who have acquired naturopathy degrees so as to integrate the insights gained into their system of practice.{{Fact|date=July 2007}}

The Indian stream of naturopathy differs from the Western stream in many ways, particularly in their emphasis on strict [[vegetarian]]ism and [[yoga]].{{Fact|date=July 2007}}

==Naturopathic physicians and traditional naturopaths==
There are two groups in North America calling themselves "naturopaths" who have recently been engaged in legal battles. The term when originally coined by [[John Scheel]], and popularized by Dr. [[Benedict Lust]] was to apply to those receiving an education in the basic medical sciences with an emphasis on natural therapies. This usage best describes modern day naturopathic physicians. In the absence of universal regulation of naturopathy, another group of practitioners (the so-called 'traditional naturopaths') has emerged.
<!-- Seems a bit redundant as this distinction is made clear below
*Naturopathic Physicians are formally educated at an accredited school, board-licensed, and are exclusively designated ND or NMD in jurisdictions where these titles are protected.
*Traditional naturopaths have no standardised education, are not board-licensed, may sometimes use the title DNM, but sometimes claim the ND designation in jurisdictions where titles are not protected.-->

===Naturopathic Physicians===
Naturopathic physicians in North America are primary care providers trained in conventional medical sciences, diagnosis and treatment, and are experts in natural therapeutics. Licensing and training requirements vary from state to state, but at least 14 states<!-- to be consistent with Regulation in North America described below -->, the District of Columbia, and four Canadian provinces have formal licensing and educational requirements. <ref>[http://www.naturopathic.org/viewbulletin.php?id=118 American Association of Naturopathic Physicians]</ref><ref>http://www.cand.ca</ref>
In these jurisdictions, Naturopathic Physicians must pass comprehensive board exams set by the North American Board of Naturopathic Examiners (NABNE)<ref>http://www.nabne.org</ref> after having completed training at a college certified by the Council on Naturopathic Medical Eductaion (CNME)<ref>http://www.cnme.org</ref>.

====Naturopathic Principles====

Naturopathic Physicians are taught to identify themselves based on philosophical principles rather than on available methods of natural medicine practice. These principles were adopted by the AANP in 1982.<ref>
http://naturopathic.org/viewbulletin.php?id=28</ref>

<blockquote>
* The Healing Power of Nature (''Vis Medicatrix Naturae'')-- The healing power of nature is the inherent self-organizing and healing process of living systems which establishes, maintains and restores health. Naturopathic medicine recognizes this healing process to be ordered and intelligent. It is the naturopathic physician\'s role to support, facilitate and augment this process by identifying and removing obstacles to health and recovery, and by supporting the creation of a healthy internal and external environment.
</blockquote>
<blockquote>
* Identify and Treat the Causes (''Tolle Causam'')-- Illness does not occur without cause. Causes may originate in many areas. Underlying causes of illness and disease must be identified and removed before complete recovery can occur. Symptoms can be expressions of the body's attempt to defend itself, to adapt and recover, to heal itself, or may be results of the causes of disease. The naturopathic physician seeks to treat the causes of disease, rather than to merely eliminate or suppress symptoms.
</blockquote>
<blockquote>
* First Do No Harm (''Primum Non Nocere'')--Naturopathic physicians follow three precepts to avoid harming the patient: 1) Naturopathic physicians utilize methods and medicinal substances which minimize the risk of harmful effects, and apply the least possible force or intervention necessary to diagnose illness and restore health. 2) Whenever possible the suppression of symptoms is avoided as suppression generally interferes with the healing process. 3) Naturopathic physicians respect and work with the vis medicatrix naturae in diagnosis, treatment and counseling, for if this self-healing process is not respected the patient may be harmed.
</blockquote>
<blockquote>
* Doctor As Teacher (''Docere'')--The original meaning of the word "doctor" is teacher. A principal objective of naturopathic medicine is to educate the patient and emphasize self-responsibility for health. Naturopathic physicians also recognize and employ the therapeutic potential of the doctor-patient relationship.
</blockquote>
<blockquote>
* Treat the Whole Person (''Tolle Totum'')--Health and disease result from a complex of physical, mental, emotional, genetic, environmental, social and other factors. Since total health also includes spiritual health, naturopathic physicians encourage individuals to pursue their personal spiritual development. Naturopathic medicine recognizes the harmonious functioning of all aspects of the individual as being essential to health. The multifactorial nature of health and disease requires a personalized and comprehensive approach to diagnosis and treatment. Naturopathic physicians treat the whole person taking all of these factors into account.
</blockquote>
<blockquote>
* Prevention (''Praevenio'')--Naturopathic medical colleges emphasize the study of health as well as disease. The prevention of disease and the attainment of optimal health in patients are primary objectives of naturopathic medicine. In practice, these objectives are accomplished through education and the promotion of healthy ways of living. Naturopathic physicians assess risk factors, heredity and susceptibility to disease, and make appropriate interventions in partnership with their patients to prevent illness. Naturopathic medicine asserts that one cannot be healthy in an unhealthy environment and is committed to the creation of a world in which humanity may thrive.
</blockquote>

===Traditional Naturopaths===
Traditional naturopaths are guided by the same naturopathic philosophies and principles as board-licensed Naturopathic physicians and often prescribe similar treatments but do so as alternative or complimentary practitioners rather than as primary care providers. Some may voluntarily join a professional organization, but these organizations do not acredit educational programs in any meaningful way or license practitioners per se. The training programs for traditional naturopaths can vary greatly, are less rigorous and do not provide the same basic and clinical science education as naturopathic medical schools do. The professional organizations formed by traditional naturopaths are not recognized by the U.S. Government or any U.S. State or Territory.

==Regulation of naturopathic medicine==
In some jurisdictions the practice of naturopathic medicine is unregulated and so the titles like "naturopath", "naturopathic doctor", and "doctor of natural medicine" are not protected by law. This may lead to difficulty in ensuring that a practitioner is trained to a particular standard or has adequate liability insurance.

===Regulation in Australia===
There is currently no state [[licensure]] in [[Australia]], rather the industry is self regulated. There is no protection of title, meaning that technically anyone can practise as a naturopath. The only way to obtain [[insurance]] for professional [[indemnity]] or public [[Liability insurance|liability]] is by joining a [[Professional body|professional association]], which can only be achieved having completed an [[School accreditation|accredited]] course and gaining [[professional certification]].

It is generally thought that with registration, a minimum four-year degree and 400 hours of supervised clinical practice will be required for practice. Currently only a few institutions fulfil these requirements, including the [[Australian College of Natural Medicine]]'s degree course, [[Southern Cross University]] Bachelor degree, and the [[University of Western Sydney]]'s combined [[Bachelor of Applied Science (Naturopathic Studies)]] and Graduate Diploma in Naturopathy.

Currently the only registered modalities of natural medicine in Australia are those relating to Chinese medicine, and only in the state of [[Victoria (Australia)|Victoria]].{{Fact|date=May 2007}} However the Victorian Government is currently reviewing this, and is looking to allow the registration of naturopaths along with homoeopaths and Western herbal medicine practioners.

===Regulation in North America===
{{see also|List of Accredited Naturopathic Medical Schools in North America}}
Jurisdictions that currently regulate naturopathic medicine include:
*U.S. jurisdictions with full licensure: [[Alaska]], [[Arizona]], [[California]], [[Connecticut]], [[District of Columbia]], [[Hawaii]], [[Idaho]], [[Maine]], [[Montana]], [[Vermont]], [[New Hampshire]], [[Oregon]], [[U.S. Virgin Islands]], [[Utah]], [[Washington]].<ref>[http://www.naturopathic.org/viewbulletin.php?id=118 American Association of Naturopathic Physicians]</ref>
*[[Utah]] licensed N.D.s can only prescribe medications listed from the Naturopathic Physician Formulary. [http://www.rules.utah.gov/publicat/code/r156/r156-71.htm#E5]
*U.S. state with registration for naturopathic physicians: [[Kansas]]<ref>[http://www.ksbha.org/ Kansas State Board of Healing Arts]</ref>
*U.S. jurisdictions with two-tier licensure: [[Puerto Rico]] {{Fact|date=February 2007}}
*U.S. states with legal basis for practice: [[Minnesota]], [[Rhode Island]] {{Fact|date=February 2007}}
*U.S. states which specifically prohibit the practice of naturopathy: [[South Carolina]], [[Tennessee]]
*Canadian provinces with full licensure: [[British Columbia]], [[Manitoba]], [[Ontario]], [[Saskatchewan]] <ref>[http://www.cand.ca/index.php?40 Canadian Association of Naturopathic Doctors]</ref>

===Regulation in the United Kingdom===
In the [[United Kingdom]], naturopathy as a profession is very closely aligned with [[osteopathy]].{{Fact|date=May 2007}} There is no government sponsored regulation of the profession, the largest body, [[The General Council & Register of Naturopaths]] recognises three courses in the UK, two being taught at osteopathic schools: the [[British College of Osteopathic Medicine]]; The [[College of Osteopaths Educational Trust]]; and one at the [[University of Westminster]] School of Integrated Health under the auspices of the B.Sc Health Science (Naturopathy) course.

Members of this register will either have completed a three or four year full time [[Academic degree|degree]] level course or possibly be a [[Health profession|healthcare professional]] (Medical Doctor, Osteopath, Chiropractor, Nurse) who has completed a two year post-graduate Naturopathic Diploma, the N.D. As the naturopathic profession has developed along different lines in the UK, naturopaths do not perform minor surgery or have prescribing rights.

==Science and naturopathy==
Some modalities used in naturopathy are controversial. Some [[medical doctor]]s have cited the large differences among naturopathic practitioners and the lack of scientific documentation of the safety and efficacy of their practices in order to justify limiting naturopathic scope. [[Scientific skepticism|Skeptics]] have labelled naturopathy as [[pseudoscience]] and criticise government legislation to license and accredit naturopaths and their organizations as giving the field unwarranted credibility.<ref> Robert Todd Carroll, ''The Skeptic's Dictionary''. Wiley Press, NY, 2003.</ref> Advocates claim that naturopathic practitioners find it difficult to obtain financing for research due to the lack of prior research in many areas. Proponents claim that this is slowly changing as naturopathic physicians develop research programs to help build up a foundation for evidence based treatment.

Conventional medicine is required to undergo rigorous scientific testing; [[drug trial]]s often last for a decade. A criticism of [[Alternative medicine|alternative therapies]] is that they are not subject to detailed safety assessment. Advocates of naturopathy respond that many of their therapeutic interventions have been safely used for hundreds and in some cases thousands of years, claiming what is lost in formal study design is more than made up for by the breadth and depth of human experience with the interventions in question. Also of concern is the ambiguity of the word "natural" and poor agreement as to its meaning; 'natural' does not necessarily mean beneficial, or even benign. (See [[Naturalistic fallacy]].)

Naturopathic modalities may be controversial (e.g. [[homeopathy]], which several studies have indicated to be ineffective <ref>[http://www.guardian.co.uk/medicine/story/0,11381,1556831,00.html As a fourth study says it's no better than a placebo, is this the end of homeopathy?], The Guardian, August 26, 2005.</ref>), or have proven effectiveness only for very specific conditions (eg [[acupuncture]], [[aromatherapy]]). Some naturopaths may use these modalities as [[Panacea (medicine)|panaceas]] or to improve the patient's quality of life, and some are known to be harmful to a patient rather than helpful if not used properly or under the care of a trained practitioner.<ref name=nccam>{{cite web | last = | first = | authorlink = | coauthors = | title = An Introduction to Naturopathy| work = | publisher = NCCAM, National Institutes of Health| date = | url = http://nccam.nih.gov/health/naturopathy/#7 | format = | doi = | accessdate = 2007-07-04}}</ref><ref name=bmc>{{cite journal | title = Naturopaths practice behaviour: provision and access to information on complementary and alternative medicines| author= Smith C et al.| year = 2005 | journal = BMC Complement Altern Med| volume = 5 | issue = | pages = 15| url = http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1182348}}</ref><ref name=latrobe>{{cite web | last = | first = | authorlink = | coauthors = | title = The Practice and Regulatory Requirements of Naturopathy and Western Herbal Medicine| author= Lin V et al.|work = | publisher = Latrobe University, School of Public Health| date = November, 2005| url = http://www.health.vic.gov.au/pracreg/naturopathy-final1106.pdf | format = pdf| doi = | accessdate = 2007-07-04}}</ref>

==References==

<div class="references-small" style="-moz-column-count:2; column-count:2;">
<references/>
</div>

==See also==
*[[Allopathic Medicine]]
*[[Alternative medicine]]
*[[Health freedom movement]]
*[[Hydrotherapy]]
*[[Homeopathy]]
*[[LOHAS]]
*[[Medicine]]
*[[Metamorphic Technique]]
*[[Natural Hygiene]]
*[[Osteopathy]] and [[osteopathic medicine]]

==External links==
===Advocacy===

*[http://www.futurehealth.ucsf.edu/pdf_files/Naturo2.pdf Profile of Profession: Naturopathic Practice] (312 Kb PDF file) Center for the Health Professions, UCSF

;Naturopathic physician associations:

*[http://www.naturopathic.org/ American Association of Naturopathic Physicians - AANP]
*[http://www.naturopathicassoc.ca/ Canadian Association of Naturopathic doctors]
*[http://www.bcna.ca/ British Columbia Naturopathic Association]
*[http://www.aznma.com/ Arizona Naturopathic Medical Association]
*[http://www.ncanp.com North Carolina Association of Naturopathic Physisicans]
*[http://www.calnd.org/ California Naturopathic Doctors Association]
*[http://www.cnpa.org/ Connecticut Naturopathic Association]
*[http://www.mo-nd.org/ Missouri Association of Naturopathic Physicians]
*[http://www.oanp.org/ Oregon Association of Naturopathic Physicians]
*[http://www.wanp.org/ Washington Association of Naturopathic Physicians]
*[http://www.oncanp.org/ Oncology Association of Naturopathic Physicians]
*[http://www.acno.org/ American College of Naturopathic Obstetricians]

;Certifying Organizations:
*[http://www.nabne.org/ North American Board of Naturopathic Examiners]
*[http://www.cnme.org/ Council on Naturopathic Medical Education]
*[http://www.naturopathy.org.uk/ UK General Council and Register of Naturopaths]

;Traditional naturopaths:
*[http://www.naturopathy-anp.com/ Association of Naturopathic Practitioners]
*[http://www.naturalhealth.org/ Coalition for Natural Health]

===Criticism===
*[http://skepdic.com/natpathy.html Naturopathy] by Robert T. Carroll &ndash; The [[Skeptic's Dictionary]]
*[http://www.naturowatch.org/general/beyerstein.html Naturopathy: A Critical Analysis] by Barry L. Beyerstein, PhD, and Susan Downie
*[http://www.livescience.com/humanbiology/060404_bad_doctors.html Licensed to Kill: Some Doctors Are Real Naturals] by Chris Wanjek

===Current events and News===
*[http://www.forbes.com/forbeslife/health/feeds/hscout/2006/08/18/hscout534414.html/ Can Naturopathic Remedies Fight Cancer, Hot Flashes?] -Forbes.com



[[Category:Alternative medicine]]
[[Category:Alternative medical systems]]
[[Category:Healthcare]]
[[Category:Medicine]]
[[Category:Simple living]]

[[de:Naturheilkunde]]
[[es:Naturopatía]]
[[eo:Naturkuracado]]
[[it:Medicina naturopatica]]
[[he:נטורופתיה]]
[[nl:Natuurgeneeswijze]]

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* Брэгг П. С. Чудо голодания.: Пер. с англ., — М. Мол. гвардия, 1989,
* Брэгг П. С. Чудо голодания.: Пер. с англ., — М. Мол. гвардия, 1989,


[[en:Naturopathy medicine]]
[[en:Naturopathic medicine]]

Версия от 12:33, 30 августа 2007

Шаблон:Inuse

Натуропатия (naturopathy) — популярное направление «Натуральной медицины» в США, Канаде, Западной Европе.

Самыми популярными методами натуральной медицины являются акупунктура, мануальная терапия, гидротерапия, ароматерапия, аюрведа, иногда сюда же относят гомеопатию.

История и общие сведения

Под натуропатией обычно понимают традиционные методы оздоровления, иногда просто разумное поведение человека в отношении здоровья. Основной принцип натуропатии - в каждом от рождения заложены огромные возможности самоизлечения, и надо лишь правильно воспользоваться этими силами. В каждой стране были свои системы народной медицины.

В разное время отдельные системы оздоровления приобретали большую или меньшую популярность. Особое внимание к таким системам в Европе появилось в конце XIX века, когда в Германии, во Франции и в Англии здоровье народа стало предметом активного обсуждения и изучения. Например, водолечение стало популярным благодаря Себастьяну Кнайппу, баварскому монаху, активно пропагандировавшему этот вид природного оздоровления.

Натуропатия в разных странах

Законодательное регулирование

В США качество продукции из разряда «Health Food Supplements» контролирует агентство ФДА (FDA — Food And Drug Administration).


Литература

Naturopathic Physicians

Naturopathic physicians in North America are primary care providers trained in conventional medical sciences, diagnosis and treatment, and are experts in natural therapeutics. Licensing and training requirements vary from state to state, but at least 14 states, the District of Columbia, and four Canadian provinces have formal licensing and educational requirements. [1][2] In these jurisdictions, Naturopathic Physicians must pass comprehensive board exams set by the North American Board of Naturopathic Examiners (NABNE)[3] after having completed training at a college certified by the Council on Naturopathic Medical Eductaion (CNME)[4].

Naturopathic Principles

Naturopathic Physicians are taught to identify themselves based on philosophical principles rather than on available methods of natural medicine practice. These principles were adopted by the AANP in 1982.[5]

  • The Healing Power of Nature (Vis Medicatrix Naturae)-- The healing power of nature is the inherent self-organizing and healing process of living systems which establishes, maintains and restores health. Naturopathic medicine recognizes this healing process to be ordered and intelligent. It is the naturopathic physician\'s role to support, facilitate and augment this process by identifying and removing obstacles to health and recovery, and by supporting the creation of a healthy internal and external environment.
  • Identify and Treat the Causes (Tolle Causam)-- Illness does not occur without cause. Causes may originate in many areas. Underlying causes of illness and disease must be identified and removed before complete recovery can occur. Symptoms can be expressions of the body's attempt to defend itself, to adapt and recover, to heal itself, or may be results of the causes of disease. The naturopathic physician seeks to treat the causes of disease, rather than to merely eliminate or suppress symptoms.
  • First Do No Harm (Primum Non Nocere)--Naturopathic physicians follow three precepts to avoid harming the patient: 1) Naturopathic physicians utilize methods and medicinal substances which minimize the risk of harmful effects, and apply the least possible force or intervention necessary to diagnose illness and restore health. 2) Whenever possible the suppression of symptoms is avoided as suppression generally interferes with the healing process. 3) Naturopathic physicians respect and work with the vis medicatrix naturae in diagnosis, treatment and counseling, for if this self-healing process is not respected the patient may be harmed.
  • Doctor As Teacher (Docere)--The original meaning of the word "doctor" is teacher. A principal objective of naturopathic medicine is to educate the patient and emphasize self-responsibility for health. Naturopathic physicians also recognize and employ the therapeutic potential of the doctor-patient relationship.
  • Treat the Whole Person (Tolle Totum)--Health and disease result from a complex of physical, mental, emotional, genetic, environmental, social and other factors. Since total health also includes spiritual health, naturopathic physicians encourage individuals to pursue their personal spiritual development. Naturopathic medicine recognizes the harmonious functioning of all aspects of the individual as being essential to health. The multifactorial nature of health and disease requires a personalized and comprehensive approach to diagnosis and treatment. Naturopathic physicians treat the whole person taking all of these factors into account.
  • Prevention (Praevenio)--Naturopathic medical colleges emphasize the study of health as well as disease. The prevention of disease and the attainment of optimal health in patients are primary objectives of naturopathic medicine. In practice, these objectives are accomplished through education and the promotion of healthy ways of living. Naturopathic physicians assess risk factors, heredity and susceptibility to disease, and make appropriate interventions in partnership with their patients to prevent illness. Naturopathic medicine asserts that one cannot be healthy in an unhealthy environment and is committed to the creation of a world in which humanity may thrive.

Traditional Naturopaths

Traditional naturopaths are guided by the same naturopathic philosophies and principles as board-licensed Naturopathic physicians and often prescribe similar treatments but do so as alternative or complimentary practitioners rather than as primary care providers. Some may voluntarily join a professional organization, but these organizations do not acredit educational programs in any meaningful way or license practitioners per se. The training programs for traditional naturopaths can vary greatly, are less rigorous and do not provide the same basic and clinical science education as naturopathic medical schools do. The professional organizations formed by traditional naturopaths are not recognized by the U.S. Government or any U.S. State or Territory.

Regulation of naturopathic medicine

In some jurisdictions the practice of naturopathic medicine is unregulated and so the titles like "naturopath", "naturopathic doctor", and "doctor of natural medicine" are not protected by law. This may lead to difficulty in ensuring that a practitioner is trained to a particular standard or has adequate liability insurance.

Regulation in Australia

There is currently no state licensure in Australia, rather the industry is self regulated. There is no protection of title, meaning that technically anyone can practise as a naturopath. The only way to obtain insurance for professional indemnity or public liability is by joining a professional association, which can only be achieved having completed an accredited course and gaining professional certification.

It is generally thought that with registration, a minimum four-year degree and 400 hours of supervised clinical practice will be required for practice. Currently only a few institutions fulfil these requirements, including the Australian College of Natural Medicine's degree course, Southern Cross University Bachelor degree, and the University of Western Sydney's combined Bachelor of Applied Science (Naturopathic Studies) and Graduate Diploma in Naturopathy.

Currently the only registered modalities of natural medicine in Australia are those relating to Chinese medicine, and only in the state of Victoria.Ошибка: некорректно задана дата установки (исправьте через подстановку шаблона) However the Victorian Government is currently reviewing this, and is looking to allow the registration of naturopaths along with homoeopaths and Western herbal medicine practioners.

Regulation in North America

Jurisdictions that currently regulate naturopathic medicine include:

Regulation in the United Kingdom

In the United Kingdom, naturopathy as a profession is very closely aligned with osteopathy.Ошибка: некорректно задана дата установки (исправьте через подстановку шаблона) There is no government sponsored regulation of the profession, the largest body, The General Council & Register of Naturopaths recognises three courses in the UK, two being taught at osteopathic schools: the British College of Osteopathic Medicine; The College of Osteopaths Educational Trust; and one at the University of Westminster School of Integrated Health under the auspices of the B.Sc Health Science (Naturopathy) course.

Members of this register will either have completed a three or four year full time degree level course or possibly be a healthcare professional (Medical Doctor, Osteopath, Chiropractor, Nurse) who has completed a two year post-graduate Naturopathic Diploma, the N.D. As the naturopathic profession has developed along different lines in the UK, naturopaths do not perform minor surgery or have prescribing rights.

Science and naturopathy

Some modalities used in naturopathy are controversial. Some medical doctors have cited the large differences among naturopathic practitioners and the lack of scientific documentation of the safety and efficacy of their practices in order to justify limiting naturopathic scope. Skeptics have labelled naturopathy as pseudoscience and criticise government legislation to license and accredit naturopaths and their organizations as giving the field unwarranted credibility.[9] Advocates claim that naturopathic practitioners find it difficult to obtain financing for research due to the lack of prior research in many areas. Proponents claim that this is slowly changing as naturopathic physicians develop research programs to help build up a foundation for evidence based treatment.

Conventional medicine is required to undergo rigorous scientific testing; drug trials often last for a decade. A criticism of alternative therapies is that they are not subject to detailed safety assessment. Advocates of naturopathy respond that many of their therapeutic interventions have been safely used for hundreds and in some cases thousands of years, claiming what is lost in formal study design is more than made up for by the breadth and depth of human experience with the interventions in question. Also of concern is the ambiguity of the word "natural" and poor agreement as to its meaning; 'natural' does not necessarily mean beneficial, or even benign. (See Naturalistic fallacy.)

Naturopathic modalities may be controversial (e.g. homeopathy, which several studies have indicated to be ineffective [10]), or have proven effectiveness only for very specific conditions (eg acupuncture, aromatherapy). Some naturopaths may use these modalities as panaceas or to improve the patient's quality of life, and some are known to be harmful to a patient rather than helpful if not used properly or under the care of a trained practitioner.[11][12][13]

References

  1. American Association of Naturopathic Physicians
  2. http://www.cand.ca
  3. http://www.nabne.org
  4. http://www.cnme.org
  5. http://naturopathic.org/viewbulletin.php?id=28
  6. American Association of Naturopathic Physicians
  7. Kansas State Board of Healing Arts
  8. Canadian Association of Naturopathic Doctors
  9. Robert Todd Carroll, The Skeptic's Dictionary. Wiley Press, NY, 2003.
  10. As a fourth study says it's no better than a placebo, is this the end of homeopathy?, The Guardian, August 26, 2005.
  11. An Introduction to Naturopathy. NCCAM, National Institutes of Health. Дата обращения: 4 июля 2007.
  12. Smith C; et al. (2005). "Naturopaths practice behaviour: provision and access to information on complementary and alternative medicines". BMC Complement Altern Med. 5: 15. {{cite journal}}: Явное указание et al. в: |author= (справка)
  13. Lin V et al. The Practice and Regulatory Requirements of Naturopathy and Western Herbal Medicine (pdf). Latrobe University, School of Public Health (November, 2005). Дата обращения: 4 июля 2007.

See also

External links

Advocacy

Naturopathic physician associations
Certifying Organizations
Traditional naturopaths

Criticism

Current events and News

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  • Брэгг П. С. Чудо голодания.: Пер. с англ., — М. Мол. гвардия, 1989,